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뇌들보 팽대 영역의 손상 없이 발생한 순수 실독증
Case Report
Dementia and Neurocognitive Disorders 2008: 7: 2: 72-75	전문보기
김민영∙강동화∙이재홍∙권미선*
건국대학교 의과대학 신경과학교실 울산대학교 의과대학 서울아산병원 신경과*
Pure Alexia without the Involvement of Splenium
Minyoung Kim, M.A., Dong-Wha Kang, M.D., Jae-Hong Lee, M.D., Miseon Kwon, Ph.D*
Department of Neurology, Konkuk University School of Medicine, Seoul; Department of Neurology*, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Alexia can occur with or without minimal impairment of other language abilities although it is usually associated with aphasia. The classical lesion for pure alexia is in the left occipital area and the splenium. We report a case of pure alexia without involvement of the splenium. The results of stepwise assessments revealed that the patient’s capacity for visual analysis was intact, but there were severe difficulties in both lexical and phonological routes for reading. The large lesion in the left temporo-occipital area would be responsible for the symptoms.
Key Words: Pure alexia, Stroke, Splenium